Ch. 22: Care Of Pt W/ Cancer

Question 1

Advanced cancer often have an impact on:

Answer 1

Immunity and clotting
GI Function
Peripheral Nerve Sensory Perception
Central Motor and Sensory Function
Respiratory and Cardiac Function
Comfort and Quality of Life

Question 2

Pts with anemia usually has (sx)?

Answer 2

Fatigue
SOB
Tachycardia

Question 3

Cancer has a negative impact on the adult’s?

Answer 3

Physical and psychological functioning and quality of life

Question 4

Anemia

Answer 4

Decreases the # of red blood cells, and it causes thrombocytopenia (decrease number of platelets), resulting in impaired clotting

Changes may be caused by the disease or by cancer treatment, especially chemotherapy

Question 5

Cachexia

How does it Develop?

Answer 5

Extreme body wasting and malnutrition

Develops from an imbalance between food intake and energy use and may occur despite adequate nutrition intake

Question 6

What are some approaches suggested to maintain good nutrition during cancer treatment?

Answer 6

Eat a healthy diet rich and complex carbohydrates (fiber) and protein
Eating smaller and frequent meals
Taking nutritional supplements for drinks between meals

Question 7

Neurotoxic Chemotherapy Agents

Answer 7

Injures peripheral nerves, leading to peripheral neuropathy with reduced sensory perception

Patients with chemotherapy induced peripheral neuropathy (CIPN) report loss of sensation, especially in the lower extremities

Question 8

Sx of CIPN?

Answer 8

Numbness, tingling, neuropathic pain, and changes in gait and balance

Question 9

What is the purpose of cancer management?

Answer 9

To cure or control the disease will minimizing the side effects of therapy

Question 10

The types of Cancer therapy

Answer 10

Surgery
Radiation
Chemotherapy
Immunotherapy (Biological response modifiers, molecularly targeted therapy)
Photodynamic Therapy
Hormonal Therapy

Question 11

Therapy use on cancer depends on what?

Answer 11

1. Type of cancer
2. Whether the cancer can spread (metastasis)
3. Overall health and functional status of the patient

Question 12

Surgery:

Prophylactic Surgery?

Answer 12

Removes potentially cancerous tissues as a means of preventing cancer development.

Performs when a pt has either an existing premalignant condition or a strong predisposition for development of a specific cancer

Ex: Removing benign polyp from colon before it can develop into colon cancer